Lunch & Learn and Life Alliance Online Survey Consent Form

Life Alliance Survey

Title of Research Study:

How Faculty Practice Opens Doors and Fosters Student Engagement: Successes and Barriers

Researcher's Contact Information:

Sarah Stevens,, 561-803-2839


You are being invited to take part in a research study conducted by Sarah Stevens of Palm Beach Atlantic University. Before you decide to participate in this study, you should read this form and ask questions about anything that you do not understand.

Description of Project

The purpose of the study is evaluate the effectiveness of the Life Alliance Organ Recovery Agency organ procurement opportunity, as well as Lunch and Learn sessions.

Explanation of Procedures

You will be asked to fill out an online survey. As part of the survey, you’ll be asked if you would be willing to participate in a phone and/or live interview.

Time Required

Online survey: less than 5 minutes
Optional Interview: 15 to 20 minutes

Risks or Discomforts



No direct benefits to participant. However, data collected will be used to continue to improve Palm Beach Atlantic University School of Nursing curriculum and experiences.




The results of this participation will be anonymous unless participant chooses to participate in interview. Information collected via interview will remain confidential and be de-identified in research reporting.

Inclusion Criteria for Participation

  • You must be 18 years of age or older to participate in this study.

Use of Online Survey

IP addresses will not be collected.

Research at Palm Beach Atlantic University which involves human participants is carried out under the oversight of the Institutional Review Board. Questions or problems regarding these activities should be addressed to Dr. David M. Compton, Chair of the Office of Academic Research or Dr. Randy Richards, Provost, Palm Beach Atlantic University, PO Box 24708, West Palm Beach, Florida 33416-4708 [(561) 803-2463]

By selecting below that you agree to participate in this study, you are indicating that:

  • You have read the information in this form
  • You are willing to voluntarily participate in this study